Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $53.96 / $132.60	Facility		$29.27	$53.96	$132.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $26.10 / $30.67	Professional		$19.19	$26.10	$30.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $147.99 / $240.28	Facility		$40.21	$147.99	$240.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $17.07 / $21.63	Professional		$12.49	$17.07	$21.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $14.52	Facility		$14.52	$14.52	$14.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $25.61 / $56.39	Professional		$20.12	$25.61	$56.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.29 / $12.29 / $12.29	Professional		$12.29	$12.29	$12.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $26.81 / $43.69	Facility		$21.22	$26.81	$43.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $22.34 / $57.60	Professional		$20.12	$22.34	$57.60
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.29 / $13.70	Professional		$9.38	$13.29	$13.70